Provider Demographics
NPI:1568734135
Name:WINSLOW, SETH (DPM)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:
Last Name:WINSLOW
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 GRAND ST
Mailing Address - Street 2:SUITE M-706
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-3905
Mailing Address - Country:US
Mailing Address - Phone:212-920-4169
Mailing Address - Fax:
Practice Address - Street 1:383 GRAND ST
Practice Address - Street 2:SUITE 706
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-3905
Practice Address - Country:US
Practice Address - Phone:212-920-4169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006455-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery